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OCCOHANNOCK DENTAL
NPI 1316694946
Clinic/Center - Federally Qualified Health Center (FQHC) in Exmore, VA

Active since March 03, 2022
4208 SEASIDE RD, EXMORE, VA 23350(757) 678-5151 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2023, Mar 3, 2022 (2 updates tracked since 2022).

About Occohannock Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCCOHANNOCK DENTAL (NPI 1316694946) is a healthcare organization registered as a federally qualified health center (fqhc) in Exmore, Virginia and active in the NPI registry since March 2022. The organization lists Jeannette Edwards, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1316694946
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Location Address4208 SEASIDE RDExmore, VA 23350-2575
Mailing Address20280 Market StOnancock, VA 23417-1331 · (757) 414-0400 · Fax (757) 414-0569
Phone(757) 678-5151
Organization SubpartNo
Authorized OfficialJeannette EdwardsChief Executive Officer · (757) 414-0400
Enumeration DateMarch 3, 2022
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1316694946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4208 SEASIDE RD, Exmore, VA 23350
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Other Names 1

Doing Business AsOccohannock Dental

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER DALE VANSICKELS D.D.S
Dentist
4208 SEASIDE RD
EXMORE, VA 23350
Northampton County (757) 442-5005
MARY THERESE TAYLOR MA, CCC-SLP
Speech-Language Pathologist
4208 SEASIDE RD
EXMORE, VA 23350
Northampton County (757) 678-5151
DR. JOE RICHARD DRAKE D.D.S.
Dentist (General Practice)
4208 SEASIDE RD
EXMORE, VA 23350
Northampton County (757) 442-4819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Shore Rural Health System Incorporated's NPI number?

The NPI number for Eastern Shore Rural Health System Incorporated is 1316694946. It was assigned to this organization in the NPPES registry on March 3, 2022. The provider is doing business as Occohannock Dental.

Where is Eastern Shore Rural Health System Incorporated located?

Eastern Shore Rural Health System Incorporated is located at 4208 Seaside Rd, Exmore, VA 23350. The listed phone number is (757) 678-5151.

What is Eastern Shore Rural Health System Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Eastern Shore Rural Health System Incorporated was last updated on March 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.